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Subject:	Re: iron status at 12 mths and bf
From:	Peggy Ventura <[log in to unmask]>
Reply To:	Lactation Information and Discussion <[log in to unmask]>
Date:	Wed, 26 Sep 2007 20:47:35 -0700
Content-Type:	text/plain
Parts/Attachments:	text/plain (64 lines)

I have read studies but nothing explains why the food made for the infant,that is 'species specific' could possibly be deficient in key nutrients,specifically iron. Could we have the requirement wrong? What are the numbers based on? If breast milk is the 'standard' how can it be found to be lacking?
I breastfed my first son exclusively for 9 months with only minor additions to his diet for the next 7 months and he was never deficient. Are we not looking at the correct criteria? I am puzzled by this and wish to see more in depth study of healthy, exclusive BF moms. What do you folks think?

Peggy Ventura ITSN
Indianapolis,IN

This is not a question for school, I am interested in this issue.

heather <[log in to unmask]> wrote: http://adc.bmj.com/cgi/content/abstract/92/10/850?etoc

I can only see the abstract of this study, and the full paper might
reveal more (as ever).

But I am curious. The results show that babies of 6-12 mths who
have > 6 breastfeeds a day are more likely to be anaemic or to have
low iron status (according to WHO references). '41% of infants
having >6 breast feeds per day had iron intakes below the lower
reference nutrient intake'

Now this is puzzling. More than 6 breastfeeds a day in an infant of
this age is perfectly normal and left unimpeded and unscheduled, many
infants of 6-12 mths might have considerably more than this. It would
also be normal for this to be alongside solid foods, of course. I
can't see from the abstract if the breastfed babies with adequate
intakes of solid food have been looked at and differentiated from
those whose intakes are inadequate, and how this would be defined
(though the abstract does talk about more breastfeeding being
associated with fewer solids, which probably figures).

I do wonder if the WHO reference is set a bit too high?

The babies were a large observed cohort in the West of England - it's
part of the well-known ALSPAC study.

Comments?

Heather Welford Neil
NCT bfc, tutor, UK

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